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Manaus – Beneficiaries of the Unimed Manaus Cooperative must continue to pay the health plan, so as not to lose the guarantees of waiting time, in case of migration to new operators, after the Mandatory alienation decreed by the National Agency of Supplemental Health (ANS) on Wednesday. The operator is also required to maintain customer service throughout the process until the total transfer of the customer portfolio.
This responsibility has impeded the service of users, whose complaints have increased since 2011, according to the Public Defender of the Amazon (ECD). The provision of services, such as the lack of professionals and the insufficient number of hospitals, the refusal of permission to perform medical procedures, the distinction established in the consultation, between the agreement cooperative and other private patients, and the delay of network attendance agreed the main complaints of users. The denunciations led the State Prosecutor's Office (MPE) and DPE to monitor the presence of the operator and file a civil suit, in 2017, before the 10th civil court in Manaus, which provided for a daily fine of R $ 200,000 in the event of non-compliance with a court order that determined the adoption of measures to disseminate information on accredited doctors and the appropriate treatment to those agreed upon during the consultation.
According to the promoter of the 81st Special Prosecutor's Office for the Protection of Consumers and the Protection of MSEs, Sheyla Andrade, the cooperative's board of directors was taking steps to remedy the problems reported and one day before 39, alienation mandatory, presented documents on the prosecution measures. "They were in talks with the National Unimed Central to improve the delivery of services, but now we are going to wait for the positioning.This week there will be a meeting with the council to find out what will be guaranteed to the user", said the developer, pointing out that the plan to acquire the portfolio and take over the management of the cooperative would have a significant financial impact
. The ANS establishes that the beneficiary can not be wronged and the MEP is already studying to develop a term of adjustment of conduct with the Unimed and the operator who badumes the portfolio. "We must guarantee the user of the plan continuity of service, so it is important that he continues to pay regularly to be able to recover the rights in case of violation," said Andrade
If there is no negotiation, public offer
The MEP and the Defensoria both sent documents to the NSA denouncing the lack of resources and guaranteeing funds from the cooperative for serve the clients. "ANS took these measures to avoid further damage to the beneficiaries because there was no return and the situation of alienation, despite the criticism, can not, under any circumstances, adversely affect the user, "said the public defender of collective causes, Carlos de Almeida Filho, pointing out that in cases where there is damage to users, it is necessary to report to the MPE and DPE for immediate action.
Shortly after the announcement of the sale ordered by ANS, Unimed Manaus sent an SMS message to customers that the service was guaranteed. "Do not follow the rumors and do not accept the dubious proposals for migration", guide the message.
In the event that Unimed Manaus does not negotiate its portfolio of 120,000 customers within the period stipulated by ANS, up to 30 days, renewable for an additional 15 days, an offer will be made for operators interested in making proposals. The one that offers better price conditions and consumer badistance coverage will be able to take over the portfolio, a decision that comes back to the ANS. However, there is no maintenance of current conditions, and only deficiencies are preserved.
The extraordinary portability of impairments is the next step, in case there are no operators interested in the portfolio. The consumer chooses any other operator taking with him the flaws.
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